The overall purpose of the third year of fellowship is for trainees to perfect their clinical patient care and procedural skills and to be able to practice evidence-based medicine for the full spectrum of cardiovascular diseases. By the end of their third year, fellows should be deemed capable of practicing clinical cardiology competently and independently and to safely and expertly perform all procedures. Third year fellows will fully meet all six of the ACGME general core competencies. Additionally, third year fellows may submit the results of their research project as an abstract to the appropriate forum. They will also be encouraged to submit full-length manuscripts for publication in clinical or scientific journals. The faculty will provide guidance and support with regard to such scholarly endeavors.
Clinical Judgment and Skills:
Third year fellows will improve upon the clinical judgment and skills acquired during the first two years of training by further participation in patient care in a variety of settings and will be expected to apply evidence-based medicine to develop comprehensive acute and chronic management plans for the full spectrum of cardiovascular diseases. Third year fellows will be expected to skillfully select the most appropriate cardiac tests for individual patients and to expertly apply the results leading to the safest and most optimal care. By the end of the third year, fellows should be able to manage all cardiac patients expertly and should be able to function independently as a consultant cardiologist.
Third year fellows will continue to build their cardiology knowledge base by further review of the available literature, and by the completion of the training program, fellows will be expected to be well-versed in all aspects of the clinical cardiovascular diseases literature. Third year fellows will be able to expertly interpret cardiac tests and to apply the results appropriately to the care of individual cardiac patients.
Third year fellows will perfect their procedural skills and will become skilled in performing procedures in complicated patients. Third year fellows will have a thorough understanding of the risks and benefits of the procedures they perform, will be able to manage associated complications, will be able to expertly interpret and apply all data obtained, and will be able to effectively communicate procedure results to patients and referring providers.
Third year fellows will be expected to teach medical students, residents, and junior cardiology fellows on clinical services, laboratory and non-laboratory setting and actively participate in conferences.
Third year fellows will continue to conduct themselves professionally at all times and with the highest of ethical standards.
Third year fellows will be able to write complete, accurate, and informative consults as well as detailed and accurate procedure reports. Third year fellows will be able to communicate effectively with patients, their families, and all members of the health care team.
Third year fellows should be able to function as team leader for the clinical cardiovascular services under the direction of the assigned staff physician. Third year fellows will be expected to mentor junior fellows in all aspects of the training program.
Third year fellows should have a well-established educational program that will continue into their practice and allow them to stay current with the cardiology literature and should be expert at interpreting and applying new data to enhance patient care. By the end of the third year, fellows are expected to demonstrate the outcome of their research activities in an appropriate formal setting. This presentation is usually completed at the research conference at the end of the second year of training. However, fellows may choose to present their research project results as an oral presentation to the Division of Cardiovascular Diseases, a written abstract submitted to a local or national meeting, or a manuscript submitted to a peer reviewed journal. Those interested in pursuing a career in academic medicine will become acquainted with the benchmarks of academic success and will gain an understanding of the extramural funding process as it pertains to their specialty area.